Form

20 over 60
Celebrating Older Adults in the Workforce

Thank you for recognizing the incredible contributions of those aged 60 and better in the workforce and beyond! The Area Office on Aging of Northwestern Ohio is looking for 20 Northwest Ohioans aged 60+ who have made a significant impact in your organization or the community. Please complete this form to nominate someone aged 60 and better to be honored at the upcoming Legislative Breakfast on April 29th, where public officials and community leaders will be present to join in celebrating these amazing individuals who are being honored.

Deadline for nominations is April 11th.

Your Information:

Company name*

Company domain name*

First name*

Last name*

Job title

Email*

Phone number

Your Nominee's Information:

Nominee First Name*

Nominee Last Name*

Nominee's Email*

Nominee's Mobile Number

Nominee's Phone Number*

Nominee Job Title/Role*

Nominee Department

Years with the Organization

Why are you nominating this employee? (Please add any special achievements)*